- January 8, 2020
- Posted by:
About the Role
The Coding Quality Coordinator will act as part of the broader coding audit and coder-clinician liaison team to ensure the highest possible level of coding accuracy at the RBWH, including close liaison with medical officers and other relevant staff regarding required clinical documentation for clinical coding and Activity Based Funding purposes. The Coding Quality Coordinator position will contribute to the improvement of coding quality outcomes within the areas of Women’s and Newborn Services, Cancer Care Services, Critical Care, Internal Medicine and Surgical and Peri-operative Services at RBWH.
▪ This role reports directly to the Assistant Director, Coding Quality and Assurance.
The purpose of this role is to:
▪ Actively participate in the clinical coding quality assurance program including individual, departmental and targeted coding audits, and provision of audit feedback and education to relevant staff, to ensure a high standard of coding accuracy, consistency and timeliness.
▪ Contribute to and expand the coder clinician liaison program to improve the quality of clinical documentation for accurate and optimal assignment of DRGs within an ABF environment.
This successful applicant will carry out the following key accountabilities in accordance with the Metro North values and the corresponding Lominger™ competencies shown above in this role description:
▪ Actively participate in and undertake audits outlined in the clinical coding quality assurance program to ensure departmental objectives are met including development of schedules for individual, departmental and targeted coding audits.
▪ Develop and perform coding quality improvement activities suitable to an Activity Based Funding environment including coder audits, Diagnosis Related Group targeted audits, service-wide coding audits, audits relating to QLD Health KPI’s such as VLADs (Variable life Adjusted Displays).
▪ Participate in the analysis, validation and reconciliation of coded data using appropriate information management tools to ensure coded data integrity.
▪ Collate audit results and develop coding quality reports for distribution to HIS management.
Coder Clinician Liaison
▪ Expand and contribute to the RBWH Coder-Clinician Liaison program to improve quality of clinical documentation and provide education to clinicians regarding ABF, SNAP and clinical documentation for coding.
▪ Facilitate close liaison with medical officers with regards to documentation queries and requirements for accurate DRG assignment, while providing education regarding ABF, SNAP and clinical documentation for coding.
▪ Development and review of tools and procedures to improve documentation for coding.
▪ Contribute to coding education meetings (agenda, items for discussion, follow-up actions etc.).
▪ Identify training needs, develop and deliver education and training sessions for Coding and Clinical staff.
▪ Provide regular feedback on coding audit results to the coding team (including at monthly coding communication and education meetings).
▪ Provide expert advice to HIS management on key coding classification issues that impact on ABF and other areas including performance reporting and benchmarking initiatives related to coded data.
▪ Provision of support to the Coding Manager with regards to improvements and strategic initiatives for the Coding Service.
▪ Initiate, manage and participate in quality improvement activities and initiatives.
▪ Act as a resource for coding advice and expertise to all members of the Clinical Coding Team.
▪ Represent RBWH on relevant external committees and report outcomes, changes and relevant directives.
▪ Manage own continuous learning in knowledge of clinical coding, ABF, and performance monitoring including new developments, legislation, and industry standards.